ML25349A122

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2025 ILT NRC Exam Security Final
ML25349A122
Person / Time
Site: Prairie Island  Xcel Energy icon.png
Issue date: 12/08/2025
From:
NRC/RGN-III/DORS/OB
To:
Xcel Energy
Gregory Roach
Shared Package
ML23202A206 List:
References
Download: ML25349A122 (0)
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{{#Wiki_filter:QF-1071-01, Rev. 2 (FP-T-SAT-71 Par::ie 1 of3 (l Xcel Energy-MASTER SECURITY AGREEMENT The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.

1. ere-Examination (Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements)

I acknowle= that I have acquired specialized knowledge about the *~*+il*l~l.t4examination(s) scheduled for the date(s) of HrJMH,j,.,t; lrf-ltH*..J.i as of the date of my signature. I agree thaf I will not knowingly divulge any information about these examinations to any persons who have not been authorized by an Operations Training Supervisor. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered these examinations from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered these examinations from this date until the date of administration. Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in NSPM procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of ml know~e, I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) ot Hr i*fh1f..1.

IIJ,,lrM441. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered these examinations. Retention: Life of Plant Retain in: Exam File

!F-1071-01, Rev. 2 (FP-T-SAT-71 Paqe 2 of 3 Xcel Energy-MASTER SECURITY AGREEMENT The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment. PRINTED NAME

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Fredrick Collins

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Eric Sonnenberg

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Justin Hasner

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Michael Petersen

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Jeff Gehlhar

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Anthony Short

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JOB TITLE/ RESPONSIBILITY NRC Exam Develo.Q.er Operations Instructor Simulator Lead General Su.12.ervisor Simulator Fleet Simulator Engineer Simulator Engineer °5el"lier Operations Instructor ~~ ~- ~,....J-,.J Td_ Tr6 ) 0 Ac...-fv,) 6$,'f N(?C.. <fx..,,....~ S:-. Of-v... 4-;"""s /.,,,str-ck:,r SIGNATURE (1)

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NOTES: Retention: Life of Plant Retain in: Exam File JOB TITLE/ RESPONSIBILiTY SIGNATURE (1) NRG Exam Developer ~~ z:_ };-:-g Operations Instructor Simulator Lead ~ General SuQervisor Simulator Fleet Simulator Engineer <1th~ Simulator Engineer ~ ~eflioF Operations Instructor e '$i?- ~- '$,V,_L,.J 'Totl. T<!:> - ~ ) a Ac..,fl,/t.) ($.S~ N (?C..1"..e....r::;5 ~~ S:-. C>~<J>,.+:-s )..4::~ lYlN t-AJ NRC. !fxcm 14v ~ ~rl,O I >rrt OflS g_ ~f ~~ fL-orxTa~ r"\\ Q.<" J. f\\/'--f/_,~I\\,, ~-----* ) .j ....,.r. DATE SIGNATURE (2) DATE NOTE 8/14/24 ~~. 4@fa_ 08122/24 08/.26/24 ,1(,1[2$ -- 1i/o/z_f" µJl,r;L)(j£ ~ 2J,/2o:;.r.. <Jez II~ 11/17/ 'l<Jz.S -- t!/2.?/V), o~~ tt/rr/z~_ ~~~ \\,-~-~ vd (~ \\,-,vt.> -- Z/21~

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QF-1071-G ev. 2 (FP-T-SAT-71) Page f 2 (l Xcel Energy-LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment.

1. Pre-Examination (Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements) 1 acknowledge that I have acquired specialized knowledge about the :)a:;~:]:. 1,,T NtlL examination scheduled for the date(s) of ttpt> Jr-tt/z.,jz-r-as of the date of my signature. 1 agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by an Operations Training Supervisor.. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered these examinations from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered these examinations from this date until the date of administration.

Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in NSPM procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my know edge, 1 did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of 11,~

- - //; zr . From the date that I entered into this security agreement until the completion of this examination administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered this examination. Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until the completion of their examination administration. I further understand that violation of the conditions of this agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or me. PRINTED NAME JOB TITLE/ RESPONSIBILITY SIGNA~U~E (1) _ DATE YGNATUfl!:a,(2l DATE NOTE

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QF-1071-C ev. 2 (FP-T-SAT-71) Page "2 fl Xcel Energy* LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment. PRINTED NAME

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